SHAHRAM MAROOF M.D.
NPI 1699156737
Internal Medicine - Pulmonary Disease in Champaign, IL

NPI Status: Active since June 15, 2015

Contact Information

101 W UNIVERSITY AVE
CHAMPAIGN, IL
ZIP 61820
Phone: (217) 366-1212
Fax: (217) 366-5227

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  • Individual
  • Male
  • Years of Experience 15
  • Internal Medicine
  • Pulmonary Disease
  • Accepts Insurance
  • Accepts Medicare Approved Payment

About SHAHRAM MAROOF

This page provides the complete NPI Profile along with additional information for Shahram Maroof, an internist established in Champaign, Illinois with a medical specialization in Internal Medicine, focusing in pulmonary disease and more than 15 years of experience. The healthcare provider is registered in the NPI registry with number 1699156737 assigned on June 2015. The practitioner's primary taxonomy code is 207RP1001X with license number 036146787 (IL). The provider is registered as an individual and his NPI record was last updated February 2025.

NPI
1699156737
Provider Name
SHAHRAM MAROOF M.D.
Gender
Male
Entity Type
Individual
Location Address
101 W UNIVERSITY AVE CHAMPAIGN, IL 61820
Location Phone
(217) 366-1212
Location Fax
(217) 366-5227
Mailing Address
101 W UNIVERSITY AVE CHAMPAIGN, IL 61820
Mailing Phone
(217) 366-1212
Mailing Fax
(217) 366-5227
Medical School Name
OTHER
Graduation Year
2011
Is Sole Proprietor?
Yes
Enumeration Date
06-15-2015
Last Update Date
02-07-2025
Code Navigator

An internist like Shahram Maroof is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Location Map

Secondary Locations

  • 4201 Saint Antoine St # 9C
    Detroit, MI 48201
    (313) 993-8112
  • 1000 Health Center Dr Ste 101
    Mattoon, IL 61938
    (217) 258-4158

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine Pulmonary Disease

Taxonomy Code
207RP1001X
Type
Allopathic & Osteopathic Physicians
License No.
036146787
License State
IL
Taxonomy Description
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1390200000XStudent, Health Care

Student in an Organized Health Care Education/Training Program

 

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Bronze 1 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - HMO
  • Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
  • Bronze S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
  • Gold 3 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - HMO
  • Gold 3 Advanced: Aetna network + $0 MinuteClinic + Adult Dental + Vision + Rx Copay - HMO
  • Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - HMO
  • Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
  • Silver 5 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - HMO
  • Silver 5 Advanced: Aetna network + $0 MinuteClinic + Adult Dental + Vision + Rx Copay - HMO
  • Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Blue Choice Preferred Bronze PPO? 201 - PPO
  • Blue Choice Preferred Bronze PPO? 701 - PPO
  • Blue Choice Preferred Bronze PPO? Standard - Select Rx Copays - PPO
  • Blue Choice Preferred Gold PPO? 204 - PPO
  • Blue Choice Preferred Gold PPO? 901 - PPO
  • Blue Choice Preferred Gold PPO? Standard - Rx Copays - PPO
  • Blue Choice Preferred Security PPO? 200 - PPO
  • Blue Choice Preferred Silver PPO? 203 - PPO
  • Blue Choice Preferred Silver PPO? 801 - PPO
  • Blue Choice Preferred Silver PPO? Standard - Select Rx Copays - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Shahram Maroof is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • PECOS PAC ID: 8820390669

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20210715002364, I20210804001490

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

Provider Referred Orders for Durable Medical Equipment, Devices & Supplies

The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.

Durable Medical Equipment

  • DME-Other DME (DE001N)

    Tubing with integrated heating element for use with positive airway pressure device (HCPCS:A4604)

    8 DME suppliers used 22 Medicare Claims 22 Services Paid

  • DME-Other DME (DE001N)

    Full face mask used with positive airway pressure device, each (HCPCS:A7030)

    7 DME suppliers used 14 Medicare Claims 14 Services Paid

  • DME-Other DME (DE001N)

    Face mask interface, replacement for full face mask, each (HCPCS:A7031)

    5 DME suppliers used 12 Medicare Claims 27 Services Paid

  • DME-Other DME (DE001N)

    Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap (HCPCS:A7034)

    6 DME suppliers used 19 Medicare Claims 19 Services Paid

  • DME-Other DME (DE001N)

    Headgear used with positive airway pressure device (HCPCS:A7035)

    9 DME suppliers used 21 Medicare Claims 21 Services Paid

  • DME-Other DME (DE001N)

    Tubing used with positive airway pressure device (HCPCS:A7037)

    4 DME suppliers used 11 Medicare Claims 11 Services Paid

  • DME-Other DME (DE001N)

    Filter, disposable, used with positive airway pressure device (HCPCS:A7038)

    9 DME suppliers used 34 Medicare Claims 146 Services Paid

  • DME-Other DME (DE001N)

    Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) (HCPCS:E0470)

    3 DME suppliers used 11 Medicare Claims 11 Services Paid

  • DME-Other DME (DE001N)

    Humidifier, heated, used with positive airway pressure device (HCPCS:E0562)

    8 DME suppliers used 45 Medicare Claims 46 Services Paid

  • DME-Other DME (DE000N)

    Nebulizer, with compressor (HCPCS:E0570)

    4 DME suppliers used 36 Medicare Claims 36 Services Paid

  • DME-Other DME (DE001N)

    Continuous positive airway pressure (cpap) device (HCPCS:E0601)

    9 DME suppliers used 109 Medicare Claims 109 Services Paid

  • DME-Oxygen and Supplies (DC002N)

    Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate (HCPCS:E1390)

    5 DME suppliers used 48 Medicare Claims 48 Services Paid

  • DME-Oxygen and Supplies (DC002N)

    Portable oxygen concentrator, rental (HCPCS:E1392)

    5 DME suppliers used 39 Medicare Claims 39 Services Paid

  • DME-Other DME (DE000N)

    Pharmacy dispensing fee for inhalation drug(s); per 30 days (HCPCS:Q0513)

    10 DME suppliers used 39 Medicare Claims 39 Services Paid

Drugs Administered Through DME

  • DME-Drugs Administered Through DME (DG006N)

    Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms (HCPCS:J7605)

    3 DME suppliers used 11 Medicare Claims 660 Services Paid

  • DME-Drugs Administered Through DME (DG006N)

    Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg (HCPCS:J7613)

    7 DME suppliers used 17 Medicare Claims 5493 Services Paid

  • DME-Drugs Administered Through DME (DG000N)

    Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg (HCPCS:J7626)

    5 DME suppliers used 23 Medicare Claims 1380 Services Paid

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Administration of influenza virus vaccine

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

This service was performed 11 times for 11 patients

Critical care, first 30-74 minutes

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

This service was performed 195 times for 103 patients

Established patient office or other outpatient visit, 20-29 minutes

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

This service was performed 38 times for 32 patients

Established patient office or other outpatient visit, 30-39 minutes

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

This service was performed 102 times for 67 patients

Established patient office or other outpatient visit, 30-39 minutes

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

This service was performed 119 times for 79 patients

Follow-up hospital inpatient care per day, typically 25 minutes

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

This service was performed 16 times for 13 patients

Follow-up hospital inpatient care per day, typically 35 minutes

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

This service was performed 80 times for 69 patients

Initial hospital inpatient care per day, typically 50 minutes

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

This service was performed 14 times for 14 patients

Insertion of needle into vein for collection of blood sample

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

This service was performed 19 times for 16 patients

New patient office or other outpatient visit, 30-44 minutes

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

This service was performed 27 times for 27 patients

New patient office or other outpatient visit, 45-59 minutes

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

This service was performed 36 times for 36 patients

New patient office or other outpatient visit, 45-59 minutes

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

This service was performed 46 times for 46 patients

Test to determine lung volumes using sensors

This test, called spirometry, measures lung capacity using sensors. You breathe into a mouthpiece attached to a device that records the amount and rate of air you inhale and exhale. It helps diagnose and monitor lung conditions.

This service was performed 17 times for 17 patients

Test to examine how well the lungs exchange gases

This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.

This service was performed 17 times for 17 patients

Test to measure expiratory airflow and volume changes before and after medication administration

This procedure measures how air flows in and out of your lungs. It's done before and after medication to see if the treatment improves your breathing. It's a simple, non-invasive test that involves breathing into a device called a spirometer.

This service was performed 11 times for 11 patients

Physician Visit Costs



The typical physician office visit costs for Medicare beneficiaries in this area are: $31.86 for a new patient copayment and $24.31 for an established patient copayment.

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 61820 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

  • Average New Patient Price $127.46
  • Minimum New Patient Price $54.8
  • Maximum New Patient Price $168.44
  • Average New Patient Copayment $31.86
  • Minimum New Patient Copayment $13.7
  • Maximum New Patient Copayment $42.11

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $97.25
  • Minimum Established Patient Price $17.16
  • Maximum Established Patient Price $136.56
  • Average Established Patient Copayment $24.31
  • Minimum Established Patient Copayment $4.29
  • Maximum Established Patient Copayment $34.14

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Shahram Maroof is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
CARLE FOUNDATION HOSPITAL611 WEST PARK STREET
URBANA, IL 61801
(888) 712-2753Acute Care Hospitals
SARAH BUSH LINCOLN HEALTH CENTER1000 HEALTH CENTER DRIVE P O BOX 372
MATTOON, IL 61938
(217) 258-2513Acute Care Hospitals
PARIS COMMUNITY HOSPITAL721 E COURT STREET
PARIS, IL 61944
(217) 465-4141Critical Access Hospitals

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1699156737
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
26189251276
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 1 + 8 + 9 + 2 + 5 + 1 + 2 + 7 + 6 + 24 = 73
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 73 = 77

The NPI number 1699156737 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

MR. JERRY L. HESELTON P.T.

Physical Therapist

101 W UNIVERSITY AVE
CHAMPAIGN, IL
ZIP 61820

(217) 366-1323

MR. JOHN T. COTTINGHAM P.T.

Physical Therapist

101 W UNIVERSITY AVE
CHAMPAIGN, IL
ZIP 61820

(217) 366-1323

DR. SUSAN J. EAGAN M.D.

Specialist

101 W UNIVERSITY AVE
CHAMPAIGN, IL
ZIP 61820

(217) 366-1255

MR. JAMES B. CORNETT P.A.-C.

Physician Assistant

101 W UNIVERSITY AVE
CHAMPAIGN, IL
ZIP 61820

(217) 366-1237

MS. LYNN M. BRAULT AUD.

Audiologist

101 W UNIVERSITY AVE
CHAMPAIGN, IL
ZIP 61820

(217) 366-1243

MR. RICHARD JEAN A.T.C.

Specialist/Technologist

(Athletic Trainer)

101 W UNIVERSITY AVE
CHAMPAIGN, IL
ZIP 61820

(217) 366-1327

DR. STEVEN W. THATCHER M.D.

Physical Medicine & Rehabilitation

101 W UNIVERSITY AVE
CHAMPAIGN, IL
ZIP 61820

(217) 366-7450

DR. JOHN L. NEWMAN M.D.

Urology

101 W UNIVERSITY AVE
CHAMPAIGN, IL
ZIP 61820

(217) 366-1240

DR. MAURY K. TOPOLOSKY M.D.

Internal Medicine

(Pulmonary Disease)

101 W UNIVERSITY AVE
CHAMPAIGN, IL
ZIP 61820

(217) 366-1212

MR. CHARLES P. RAGONA P.A.-C.

Physician Assistant

101 W UNIVERSITY AVE
CHAMPAIGN, IL
ZIP 61820

(217) 366-6212

DR. DAVID J. WHIPPO M.D.

Radiology

(Diagnostic Radiology)

101 W UNIVERSITY AVE
CHAMPAIGN, IL
ZIP 61820

(217) 366-1285

DR. MICHAEL W. WINGO M.D.

Internal Medicine

(Cardiovascular Disease)

101 W UNIVERSITY AVE
CHAMPAIGN, IL
ZIP 61820

(217) 366-1304

DR. GRANT A. ZEHR M.D.

Specialist

101 W UNIVERSITY AVE
CHAMPAIGN, IL
ZIP 61820

(217) 366-1310

MRS. ROBIN DECKARD P.T.

Physical Therapist

101 W UNIVERSITY AVE
CHAMPAIGN, IL
ZIP 61820

(217) 366-1327

MS. VICKI GRABSKI P.T.A.

Physical Therapy Assistant

101 W UNIVERSITY AVE
CHAMPAIGN, IL
ZIP 61820

(217) 366-1323

CHRISTIE PHARMACY CHAMPAIGN LLC

Pharmacy

(Community/Retail Pharmacy)

101 W UNIVERSITY AVE
CHAMPAIGN, IL
ZIP 61820

(217) 366-1278

MICHELE ADAMS

Audiologist

101 W UNIVERSITY AVE
CHAMPAIGN, IL
ZIP 61820

(217) 366-1200

JULIE DENISE GRYGIEL M.ED.

Developmental Therapist

101 W UNIVERSITY AVE
CHAMPAIGN, IL
ZIP 61820

(217) 366-9669

PRADNYA P VAKIL P.A.

Physician Assistant

101 W UNIVERSITY AVE
CHAMPAIGN, IL
ZIP 61820

(217) 366-1255

CHRISTIE CLINIC AMBLATORY SURGERY CENTER LLC

Clinic/Center

(Ambulatory Surgical)

101 W UNIVERSITY AVE
CHAMPAIGN, IL
ZIP 61820

(217) 366-1270

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1699156737, enumerated as an "individual" on June 15, 2015.

The provider is located at 101 W UNIVERSITY AVE CHAMPAIGN, IL 61820 and the phone number is (217) 366-1212.

Internal Medicine with taxonomy code 207RP1001X and a focus in Pulmonary Disease.

The provider might be accepting Accepts: Aetna CVS Health and Blue Cross and Blue Shield of. Please consult your insurance carrier or call the provider to verify.

Shahram Maroof is affiliated with: CARLE FOUNDATION HOSPITAL, SARAH BUSH LINCOLN HEALTH CENTER and PARIS COMMUNITY HOSPITAL.